Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.09 / $56.09 / $88.85	Facility	26	$56.09	$56.09	$88.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.92 / $216.20 / $234.91	Professional		$177.92	$216.20	$234.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.97 / $50.59 / $56.09	Professional	26	$44.97	$50.59	$56.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.41 / $166.98 / $178.82	Professional	TC	$131.41	$166.98	$178.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.11 / $492.54 / $516.52	Professional		$399.11	$492.54	$516.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.92 / $125.77 / $131.44	Professional	26	$101.92	$125.77	$131.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $297.20 / $366.77 / $385.46	Professional	TC	$297.20	$366.77	$385.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.80 / $59.80 / $59.80	Facility	26	$59.80	$59.80	$59.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.42 / $389.51 / $536.52	Professional		$259.42	$389.51	$536.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.93 / $88.93 / $135.66	Professional	26	$51.93	$88.93	$135.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $195.77 / $292.45 / $408.95	Professional	TC	$195.77	$292.45	$408.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $234.66 / $234.66 / $234.66	Facility	26	$234.66	$234.66	$234.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.03 / $451.97 / $1,374.92	Professional		$236.03	$451.97	$1,374.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $56.04 / $105.89 / $330.16	Professional	26	$56.04	$105.89	$330.16
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $179.01 / $346.08 / $1,044.76	Professional	TC	$179.01	$346.08	$1,044.76
United Facility/Professional Professional Modifier Low / Median / High Price $236.03 / $407.52 / $591.45	Professional		$236.03	$407.52	$591.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.04 / $103.38 / $139.90	Professional	26	$56.04	$103.38	$139.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.01 / $327.87 / $451.55	Professional	TC	$179.01	$327.87	$451.55